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首页> 外文期刊>International archives of occupational and environmental health: Internationales Archiv fur Arbeits- und Umweltmedizin >Musculoskeletal disorders and complaints in professional musicians: a systematic review of prevalence, risk factors, and clinical treatment effects
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Musculoskeletal disorders and complaints in professional musicians: a systematic review of prevalence, risk factors, and clinical treatment effects

机译：肌肉骨骼障碍和专业音乐家的投诉：对患病率，危险因素和临床治疗效果的系统审查

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Purpose Musicians' practice and performance routines reportedly lead to musculoskeletal complaints and disorders (MCD) that impact their wellbeing and performance abilities. This systematic review aims to assess the prevalence, risk factors, prevention and effectiveness of treatments for MCD in professional musicians and consider the methodological quality of the included studies. Methods A systematic literature search was performed in December 2017 using electronic databases and supplemented by a hand search. Case-control studies, cohort studies, cross-sectional studies, interventional studies and case reports investigating the prevalence, risk factors, prevention or treatment effects of MCD in professional musicians or music students (age >= 16 years) were included. Quality assessments of the included studies were performed using an adapted version of the "Study Quality Assessment Tools" from the National Heart, Lung, and Blood Institute. Results One case-control study, 6 cohort studies, 62 cross-sectional studies, 12 interventional studies and 28 case reports were included and assessed for methodological quality. The study designs, terminology, and outcomes were heterogeneous, as the analyses mostly did not control for major confounders, and the definition of exposure was often vague. Therefore, evidence that being a professional musician is a risk factor for MCD as well as the causal relationship between these factors remains low despite the fact that a large number of studies have been performed. Conclusions Studies with high internal and external validity regarding the prevalence, risk factors and effectiveness of the prevention or treatment of MCD in professional musicians are still missing. Further high-quality observational and interventional studies are required.
机译：据报道，目的音乐家的实践和性能惯例导致影响其福祉和绩效能力的肌肉骨骼投诉和障碍（MCD）。该系统审查旨在评估专业音乐家的MCD治疗的患病率，危险因素，预防和有效性，并考虑所纳入研究的方法论质量。方法使用电子数据库在2017年12月进行系统文献搜索，并通过手动搜索补充。案例对照研究，队列研究，横断面研究，介入研究和案例报告调查MCD在专业音乐家或音乐学生（年龄> = 16岁）中的患病率，危险因素，预防或治疗效果。使用来自全国心脏，肺和血液研究所的“学习质量评估工具”的适应版本进行了所包含研究的质量评估。结果一个病例对照研究，6个群组研究，62例横截面研究，12例介入研究和28例报告，并评估了方法论质量。研究设计，术语和结果是异质的，因为分析主要没有控制主要混血者，并且暴露的定义通常模糊。因此，作为专业音乐家的证据是MCD的危险因素以及这些因素之间的因果关系仍然很低，尽管已经进行了大量的研究。结论仍然缺少对预防或治疗MCD的患病率，危险因素和效力的高度内部和外部有效性的研究仍然缺失。需要进一步的高质量观​​测和介入研究。

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